Riverside Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

2205 Issued in OK

Legal business name

RIVERSIDE EYE CLINIC

Practice address

524 E Main St
Jenks, OK 74037-4137

Phone

(918) 296-4733

Fax

(918) 296-4734

NPI assigned

Oct 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tammy M Scheff-Paul, OD

Title

Owner

Phone

(918) 296-4733

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Riverside Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Riverside Eye Clinic

  • Optometrist
  • Jenks, OK
  • NPI 1326489923
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Holmes, OD

  • Optometrist
  • Tulsa, OK
  • NPI 1568662765
  NPD (past)
• Amy Wilson, OD

  • Optometrist
  • Tulsa, OK
  • NPI 1023290863
  NPD (past)
• Thuytien Tran Mai, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1447538285
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1093966798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374137",
            "telephone_number": "918-296-4733",
            "fax_number": "918-296-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374137",
            "telephone_number": "918-296-4733",
            "fax_number": "918-296-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "SCHEFF-PAUL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-296-4733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "3171770001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhythmm Health Inc
• Kyle Rice
• Jill Richardson, MAT, LAT, ATC
• Kaitlyn Ridenour, CF-SLP
• Dawna G Riggenbach, P.T.
• Riverside Eye Clinic
• Tori Robertson, OTA
• Michelle Rockwell, M.D.
• Sunshine Eilene Rodriguez
• Vincent T Roman, M.D.

• Optometrist in Jenks, OK
• Providers in Jenks, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.